Reducing central line-associated bloodstream infections
“This study aimed to assess the effectiveness of multi-department cooperation, intelligent prevention, and supervision (MDCIPS) in reducing the incidence of CLABSIs and improving the clinical outcomes of the patients” Wu et al (2024).
Vascular access options for out-of-hospital cardiac arrest
“There was no significant difference in sustained return of spontaneous circulation between initial intraosseous and intravenous vascular access in adults who had out-of-hospital cardiac arrest” Vallentin et al (2024).
Identifying central line-associated bloodstream infections – Full Text
“We evaluated one of the first secure large language models approved for protected health information, for identifying central line-associated bloodstream infections (CLABSIs) using real clinical notes” Rodriguez-Nava et al (2024).
Successful antibiotic treatment of diabetic foot infection
“This study aims to evaluate outcomes from outpatient antibiotic therapy (OPAT) in the management of OM in DFU patients” Hassanin et al (2024).
Peripheral parenteral nutrition complications
“PPN proved to be a safe and effective therapy for short-term PN when managed by a nutrition support team. PPN has the potential to attenuate short-term nutrition deficits and prevent central venous access device insertion in selected patients, making it a valuable nutrition support therapy” Bidgood et al (2024).
Implantable port placement via persistent left superior vena cava – Full Text
“A chest wall venous infusion port was inserted via the left internal jugular vein. Due to the PLSVC, the catheter was adjusted to ensure proper placement” Wang et al (2024).
Review of handheld ultrasound for placement of peripheral IV catheters – Full Text
“Ultrasound guided IV catheter (USGIV) access occurs frequently in Emergency Departments (EDs). This task is often performed using large, expensive, cart-based ultrasound systems (CBUS) which are frequently needed for other ED ultrasound functions and can be cumbersome to use and store. Handheld ultrasounds (HHUs) may be able to meet this need, but it is unknown if they function interchangeably with CBUS for USGIV placement” Malik et al (2024).
Close to zero CLABSI in one pediatric oncologic facility – Full Text
“Central line-associated bloodstream infections (CLABSIs) are critical infectious complications among pediatric hematology-oncology patients, and the management of central venous catheters (CVCs) by healthcare personnel can significantly influence the incidence of these infections” Turoldo et al (2024).
Ultrasound protocol for PICC tip location in neonates – Full Text
“Standardized US examinations have shown similar potential for evaluating the location of PICC lines when compared with radiographic studies. Implementing a standardized protocol in the NICU may facilitate the ultrasound assessment of PICC lines and reduce exposure to ionizing radiation” Firszt et al (2024).
Demographic-based disparities in CLABSI outcomes – Full Text
“This study highlights significant disparities in CLABSI outcomes based on demographic factors. Addressing these disparities is crucial for improving CLABSI management and healthcare equity. Further research should explore the underlying causes of these differences to inform targeted interventions” Dix et al (2024).
Vascular access device complications in paediatric critical care – Full Text
“Approximately 1 in 5 vascular devices had one or more complications in ICU, most devices continued to be used without removal, and some complications resolved” Gaetani et al (2024).
Empowering nurses with point-of-care ultrasound – Full Text
“Despite its growing integration into clinical practice, PoCUS training has mainly focused on physicians, leaving a gap for trained nurses who demonstrate similar proficiency in conducting scans and interpreting images” Gimenes et al (2024).
Blood culture results trigger of timely CLABSI identification – Full Text
“To address incorrect classifications of infectious events as CLABSI, the surveillance process was changed from using finalized blood culture to preliminary blood culture results as trigger of timely, in-depth reviews” Bischoff et al (2024).
Case study features hematoma following central venous puncture – Full Text
“We report the case of a 56-year-old male diagnosed with acute myeloid leukemia who developed a severe cervical hematoma following an ultrasound-guided right internal jugular vein catheterization” Fu et al (2024).
Syringe pump induction reduces propofol waste during TIVA – Full Text
“Syringe pump induction reduced propofol waste during TIVA, regardless of patient characteristics. Manual induction using a separate syringe should be reconsidered from an environmental and economic viewpoint” Windler et al (2024).
Complications associated with PICC tunneling
“The findings of this study suggest that both standard and pseudo-tunnels provide comparable levels of safety and comfort for patients. It was noted that Pseudotunnel offers an equivalent level of safety for patients with coagulation disorders related to PLT and INR, rendering it comparable to a “minimally invasive procedure,” which necessitates the same precautions as a non-tunneled PICC” Elli et al (2024).
Multiple peripheral IV access attempts case study
“This article presents an exemplar case study of a PIVC insertion to describe toxic stress responses a premature infant experienced during the procedure” Alsabti et al (2024).
Ultrasound-guided cannulation training for foundation doctors – Full Text
“Confidence when performing PIVC with difficult access, regardless of USS, increased significantly following the course (p < 0.01). This was also true regarding confidence when performing USS-PIVC (p < 0.01.). Key themes identified included technical skills, confidence, and clinical utility" Pham et al (2024).
Impact of virtual reality on procedural pain in paediatric oncology
“To study the impact of using virtual reality on the perception of procedural pain and on the course of care in pediatric oncology” Jbebli et al (2024).
Cellulitis home-based treatment in children
“Implementing a directed ambulatory care pathway for children with moderate periorbital cellulitis proved to be an effective and safe management strategy. This approach reduces the strain on hospital bed occupancy while promoting community-based patient care” McPherson et al (2024).
Malfunctions of non-electrical infusion pumps – Full Text
“Non-electrical infusion pumps (neIPs) are used to infuse smaller volumes over a defined period of time. There are two types of neIPs: elastomeric pumps and mechanical pumps with a spring mechanism” Munzert and Jacobshagen (2024).
Effectiveness of intraosseous access during resuscitation – Full Text
“Intraosseous access demonstrates a high success rate for infusion, independent of gender, age, weight, anatomical positioning, or healthcare setting, with minimal complication rates. Caution is especially warranted for children under the age of six months, since success rate was lower” Rijnhout et al (2024).
Vascular Access and IV Therapy Resource
Digital fluid balance monitoring technology
“Innovations in healthcare technologies have the potential to address challenges, including the monitoring of fluid balance” Leinum et al (2024).
Safety of neonatal skin-to-skin contact with umbilical venous catheters
“Prospective observational study in newborns less than 35 weeks’ gestation. UVC-related adverse events were compared between neonates who performed SSC and those who didn’t. The incidence of catheter-related displacement, leak, loss, hemorrhage, malfunction and bloodstream infection (CRBSI) was studied” Montaner-Ramon et al (2024).
GAVeCeLT consensus on central venous access devices in critically ill patients
“Thus, the Italian Group of Venous Access Devices (GAVeCeLT) has decided to offer an updated compendium of the main strategies-old and new-that should be adopted for minimizing catheter-related complications in the adult critically ill patient” Pinelli et al (2024).
Arterial port implantation for hepatic arterial infusion chemotherapy
“Total complication rate of hepatic arterial infusion chemotherapy port use is high, but serious complications are rare” Meyblum et al (2024).
Extravasation treatment in dogs – Full Text
“This report describes 3 cases of VE-induced tissue injury in dogs. In addition, this report describes the use of perivascular terbutaline infiltration and topical nitroglycerin application as therapeutic management for VE in dogs” Lathroum et al (2024).
Thromboembolism after removal of tunnelled central venous haemodialysis catheter
“There was no evidence of fatal or non-fatal PE’s occurring in the 7 days following TCVC removal. This would support the practice of removing TCVCs without the need for ultrasound screening and without a period of systemic anticoagulation” Macpherson et al (2024).
Ultrasound assessment of short peripheral catheter failure
“Currently, the Visual Infusion Phlebitis score (VIP) is the most used tool to verify the presence of inflammatory complications (phlebitis and thrombophlebitis). However, ultrasound signs (US) may be an attractive alternative” Giustivi et al (2024).
Needleless connector technology as a CLABSI risk reduction strategy – Full Text
“The use of the Clave NCT, in and of itself, is an effective risk reduction strategy for CLABSI prevention, reduced mortality, and substantial cost savings” Ryder and Battle (2024).
Graduated vascular access in the hypotensive patient – Full Text
” Obtaining intravenous access in hypotensive patients is challenging and may critically delay resuscitation. The Graduated Vascular Access for Hypotensive Patient (GAHP) protocol leverages intraosseous fluid boluses to specifically dilate proximal veins” Saab et al (2024).
Prevention and management of catheter-related thrombosis in sickle cell disease – Full Text
“Indwelling CVADs (CVCs) require a surgical procedure for insertion, but have lower infection rates and present much simpler and quicker access on transfusion days and at other times. These are often therefore the preferred option for this patient cohort. However, catheter-associated VTE is a common and significant complication in these patients” Woodward et al (2024).
Central venous access device removal complications in children – Full Text
“In our experience, almost 10% of CVAD removals in children result in complications. These findings are associated with an indwelling time >2 years; strategies to prevent complicated removals should be considered in children requiring long-term central venous access” Liu et al (2024).
IV fluid therapy in infants with sepsis – Full Text
“This study aimed to compare the effect of two methods of maintenance intravenous fluid therapy on hyponatremia in hospitalized infants with sepsis” Milani et al (2024).
Difficult intravenous access in the paediatric emergency department – Full Text
“The present study identified multiple patient, proceduralist and situational factors that were associated with DIVA in the paediatric ED” Dunstan et al (2024).
Jugular vein central catheter length prediction – Full Text
“This study aimed to determine an equation to estimate the optimal insertion length for catheter placement via the posterior approach of the sternocleidomastoid muscle in cancer patients” Chen et al (2024).
VTE risk assessment model for inpatients with cancer – Full Text
“This study developed a new VTE risk assessment model – Alfalfa-inpatient-CAT model – for hospitalized cancer patients at high risk of thrombosis” Chen et al (2024).
Improving neonatal central venous catheter safety – Full Text
“This quality improvement project was initiated after two episodes of cardiac tamponade occurred in infants in a tertiary neonatal unit. The investigation highlighted that they were caused by malpositioned CVCs” Pappa et al (2024).
CLABSI risk in patients with COVID-19 – Full Text
“To investigate the association between central line-associated bloodstream infections and clinical and care variables of intensive care unit patients with COVID-19 hospitalized at a reference public health institution” Acosta et al (2024).
Management of persistent withdrawal occlusion in venous ports – Full Text
“We created a method for resolving PWO using MD +/- application of thrombolytics with 97.4% success rate. Current evidence showed that FS is not likely to be affected by thrombolytic drugs; however, we have ascertained an effect of these drugs, proposing a hypothesis of microthrombotic events at the tip of the catheter if fibroblastic sleeve is present” Maňásek et al (2024).
Ultrasound guided central venous catheter tip location check – Full Text
“This study confirms the feasibility of a new ultrasound method to ensure the correct CVC tip position. This protocol could potentially become a standard method reducing costs, post-procedural irradiation, and time of CVC placement in emergency” Volpicelli et al (2024).
PICC-related thrombosis in patients with liver cancer – Full Text
“Age, KPS score, parenteral nutrition, TNM staging, distant metastasis, bone marrow suppression, and activities of daily living impairment are independent risk factors for PICC-related thrombosis in hospitalized patients with liver cancer, while catheter duration is a protective factor for the disease” Chen et al (2024).
Risk of extravasation associated with peripheral vasopressors – Full Text
“We discuss the guidelines and data for optimal dose, duration, intravenous line (IV) size, IV location, and nursing IV site monitoring for peripheral vasopressors. We then explore adverse events associated with peripheral vasopressors. Finally, we describe how this practice change may impact hospital medicine providers” Kalinoski et al (2024).
Central venous catheter-related thrombosis in critically ill patients – Full Text
“Almost all CVCs in the internal jugular vein in critically ill surgical patients developed an asymptomatic CRT in the first days after catheterization” Gibb et al (2024).
Neontatal central venous access device tip location
“Intracavitary electrocardiography and real time ultrasound can both be applied in the neonatal setting, but they offer different advantages or disadvantages depending on the type of central venous access device” Natile et al (2024).
Peripheral arterial catheters in extremely preterm infants
“Peripheral artery catheters can be used for continuous blood pressure measurement and blood draw even in extremely preterm infants” Bruckner et al (2024).
CLABSI reduction with a multipronged nurse-driven approach – Full Text
“Central catheter dressing assessment, intervention, and education help reduce CLABSIs. Central catheter rounds are an important adjunct to the CLABSI bundle. A central catheter dressing management algorithm helps nurses decide when to change a dressing and which type of dressing to use” Hoke et al (2024).
Internal jugular vein diameter deformation rate during puncture
“The deformation rate of the IJV wall was smaller in the 3D needle group than in the usual needle group. The use of a 3D needle would be safer when puncturing the IJV” Hashimoto et al (2024).
Hospital-associated infection cost analysis
“HAIs acquired in the ICU are associated with higher ICU costs. These findings were consistent across specific types of infection” Bezerra et al (2024).
CLABSI prevention in the Intensive Care Unit
“We observed a reduced knowledge of the guidelines for the prevention of CLABSI despite the attitudes and practices of the nurses being satisfactory. In addition to implementing training, strategies for disseminating guidelines should be adopted” Muschitiello et al (2024).
Predicting PICC-related deep vein thrombosis
“This study aims to use patient feature and catheterization technology feature variables to train the corresponding machine learning (ML) models to predict peripherally inserted central catheters-deep vein thrombosis (PICCs-DVT) and analyze the importance of the two types of features to PICCs-DVT from the aspect of “input-output” correlation” Sheng and Gao (2024).
Central line insertion training facilitated by a CVC team – Full Text
“Integrating the training provided by a specialized team with an interactive response system enhanced the knowledge and competency level in CVC insertion among medical students in this study” Tsai et al (2024).